Visual Cues that Make Portion Control Easy

To reach or stay at a healthy weight, how much you eat is just as important as what you eat. How many calories you need each day to lose weight or maintain your weight depends on your age, weight, metabolism, whether you are male or female, how active you are, and other factors. Portion control is important when you’re trying to lose weight and keep it off.

When you’re filling your plate, picture these items to help remind you of proper serving sizes:

  • Protein — Most Americans get way more than enough protein every day. A proper single portion of meat is just 3 ounces – about the size of a deck of cards, a standard smart phone, or the palm of your hand (no fingers).
  • Starches and Grains — Portions have gotten so out of control that over-sized bakery My plate - portion control guideitems have become the norm. Instead of assuming one muffin means one serving, picture this: a bagel portion should look like a regular size can of tuna; a pancake should be the size of a CD; and a muffin should be the size of a hockey puck. The amount of cereal in your bowl should be the size of a baseball, and your rice or pasta side dish should be the size of a tennis ball.
  • Fruits and Vegetables — Fruits are rich in many vitamins and minerals, so they are an essential part of your diet, but they are also a source of sugar. When consuming fruit, keep your portion to about the size of a tennis ball. A portion of cooked vegetables should be the size of a baseball, and a portion of raw vegetables should be the size of two baseballs.
  • Fats — Fats have gotten a bad reputation because they are high in calories and can lead to weight gain when eaten in excess; however, healthy fats, like olive oil and avocado, are a crucial part of a healthy fat. Keep your portions in check by picturing two stacked dice or a poker chip when serving yourself a fat source.

The quantities mentioned here were formulated by U.S.D.A and derived based on energy utilized by the average modern-day human.

For most of us, trying to remember the serving quantities of various foods seems like an impossible task. Fortunately, there is a simpler way of doing things. Follow this last tip regularly, to keep portions in control — Take a 9-inch dinner plate and visualize it divided into four parts – each containing one of the four recommended food groups i.e. fruit, vegetables, lean proteins and whole grains.

If you are interested in bariatric surgery, schedule an appointment at ViPSurg. Our expert team will find the right treatment for you.


Start Small for Big Results

If you are obese or overweight, exercise can be a tricky topic. Often, working out with extra weight becomes a vicious, negative cycle. Excess body weight puts stress on your joints, bones, and connective tissue, so when you do try to start a regular exercise routine, you end up hurting yourself, making many workouts too uncomfortable or even impossible to do. However, even though your knees probably hurt, your back probably hurts, and you probably already don’t feel good, you must start somewhere.

At the risk of generalizing, often gyms just aren’t that big-person friendly. When you’re obese, walking into a space where other people are already fit can be quite intimidating. On the other hand, for some, going to the gym is what motivates them, and there are certainly good choices for overweight and obese people. Cross-trainers and recumbent bikes all alleviate impact on the joints and lower back as do swimming and aqua aerobics.

For those who wish for something that doesn’t require machines or specialized equipment, here are some simple ways to get started at home:

  • Make A Plan Find the smallest thing you can do right now and commit to doing it every day. “Today I will walk around the block.” Or “Today I will spend 10 minutes doing chair exercises.”  Once you’ve met your small goal for the week, you can always add just a little more to it.
  • Enlist Support — Find someone in your life – a colleague, family member, or next-door neighbor – who will support and encourage you. The use of social support is an undisputed strategy for success. You don’t need another lecture about the health dangers of being overweight; you need positive motivation to make healthier choices.
  • Start Slow — The goal is to start exercising little by little, not to overdo it and end up frustrated, burnt out, or hurt right away. Gentle, easy exercise is the way to begin!

Just as not exercising becomes a routine, so can doing simple and easy workouts. Soon you’ll be craving something a little more challenging. Listen to your body and be aware of problems, but the bottom line is that most of us can do some kind of physical activity to make us healthier.


Let’s Not Sugar Coat It – Carbs Get a Bad Rap

Over the past few years, carbohydrates, especially refined sugar, have gotten a bad reputation. Unfortunately, an “all-or-nothing” restriction could be causing many people to eventually binge on these foods, often leading to weight gain and the problems that accompany obesity. Despite the messages in the media about the dangers of carbs and sugars, it is important to remember that not all carbohydrates are bad.

As a matter of fact, to boost your metabolism and ultimately lose weight, one must incorporate good carbs into their daily diet. Good carbs provide vital nutrients and essential fibers and help you stay full.

What are good carbs?

Good carbs are complex carbs that provide energy and nutritional value. For example, whole grains like quinoa, barley, faro, brown rice, and vegetables like sweet potatoes, brussels sprouts, or artichokes. Whole grain breads and pastas are easy to incorporate into your diet. These foods will keep you energized for a long period of time and are a healthy staple to any meal.

What are bad carbs?

Bad carbs are refined carbs, often filled with added sugar and devoid of nutritional photo-1458938354258-3e66eb36eb7bvalue. Examples of these would include foods containing refined grains like white rice and foods containing white flour like bread, pasta, and pastries. Bad carbs will provide temporary relief of hunger, but since the nutritional value is so low, the feeling of fullness is short-lived.

Remember, carbs do have their value, and that value should not be underestimated. Whole grains are reliable suppliers of energy; they take longer to break down than refined carbs, and they help make you feel fuller and more satisfied. Whole-grain carbs, when taken in the right portions, are not usually the issue when it comes to weight gain.

Also remember that no diet is perfect. While a well-balanced diet should predominantly include complex carbohydrates, eating simple carbohydrates in moderation will not necessarily make you gain weight or cause chronic diseases.

According to the American Heart Association, women should have no more than six teaspoons of sugar a day and men should have no more than nine. Consuming large amounts of refined sugar is hard on your whole body. It can cause weight gain, high cholesterol, and diabetes, but it also effects mood, sleep, skin, and digestion.

If you are looking for ways to treat severe obesity, schedule a consultation at VIPSurg. Our doctors are experts at bariatric surgery and can help find the right treatment for you.

How Much Water is Enough?

You may have heard that you should aim to drink eight 8-ounce glasses of water per day. How much you should actually drink is more individualized than you might think. The Institute of Medicine (IOM) currently recommends that men should drink at least 104 ounces of water per day, which is 13 cups.

They say women should drink at least 72 ounces, which is 9 cups. Even still, the answer to exactly how much water you should drink isn’t so simple.

While the eight glasses rule is a good start, it isn’t based on solid, well-researched information. Your body weight is made up of 60 percent water. While every system in your body needs water to function, your recommended intake is based on factors including your sex, age, activity level, and others, such as if you’re pregnant or breastfeeding.

The current IOM recommendation for people ages 19 and older is around 3.7 liters for men and 2.7 liters for women. However, this is your overall fluid intake per day, including anything you eat or drink containing water in it, like fruits or vegetables.

Of this total, men should drink around 13 cups from beverages. For women, it’s 9 cups.
If you find it challenging to get in all that water each day, here are a few tips to help:

  • Measure out the water you plan to drink for the day. This gives you a visual reminder as well as lets you see your progress throughout the day.
  • Have a plan. Have a certain amount you want to get in by lunch time. Set aside what is left for the afternoon, perhaps making it so there will be a smaller amount remaining for the early evening.
  • As you sip your way through the day if you find you’re not going to make it, add some fresh squeezed lemon to your water and a few drops of natural sweetener.

In addition to the general health benefits of proper hydration, for years, dieters have been drinking lots of water as a weight loss strategy. While water doesn’t have any magical effect on weight loss, substituting it for higher calorie beverages can certainly help. Also, food with high water content tends to look larger, its higher volume requires more chewing, and it is absorbed more slowly by the body, which helps you feel full. Water-rich foods include fruits, vegetables, broth-based soups, oatmeal, and beans.

If you live in the Las Vegas area and are interested in bariatric surgery, schedule an appointment with VIPSurg. Drs. Tsuda and Ryan are ready to help you find the right solution for your unique situation.

person drinking water

Benefits of Robotic Surgery

Technology is changing the way we do practically everything now, and the medical world isn’t immune. The da Vinci robot is changing the way surgeons are performing operations and is providing benefits to both patients and doctors.

While the surgeon sits at a modified computer console, he/she can control the instruments and camera. Placing their fingers into the master controls, the surgeon operates the arms of the da Vinci robot while simultaneously looking through a stereoscopic high-definition monitor that gives a better, more detailed 3-D view of the operating site than the human eye can provide. Every movement he makes with the master controls is replicated precisely by the robot. The robot’s “hands” have a high degree of dexterity, allowing surgeons the ability to operate in very tight spaces in the body that would otherwise only be accessible through open (long incision) surgery.

Using the da Vinci robot allows surgeons to perform a growing number of surgical procedures. Since these surgeries can be done through very small incisions, patients experience many benefits compared to open surgery, including:

  • Less trauma on the body
  • Shorter hospitalization
  • Reduced pain and discomfort
  • Faster recovery time and return to normal activities
  • Smaller incisions, resulting in reduced risk of infection
  • Reduced blood loss and transfusions
  • Minimal scarring

The surgical team supervises the robot at the patient’s bedside. Unlike traditional surgery where the surgeon stands over the patient sometimes for hours, a surgeon using the da Vinci system is seated, substantially decreasing surgeon fatigue. Add in the greater visualization abilities, enhanced dexterity, and greater precision and there are major advantages for both patients and surgeons using robotic surgery alike.

Dr. Tsuda and Dr. Ryan at VIPSurg are expert robotic surgeons. Call 702-487-6000 to schedule a consultation.



Bariatric Surgery: Busting the Myths and Misconceptions

Weight-loss surgery is a potentially life-saving procedure that helps you lose a substantial amount of weight by shrinking the size of your stomach and reducing food intake. Gastric bypass, lap band, and gastric sleeve are the three most recognizable names in bariatric surgery, but there are also a variety of other options thanks to continued medical advancements. Still, there remains a significant portion of the morbidly obese population who are unwilling to consider treatment for a variety of reasons; unfortunately, their reasons are often based on misconceptions or myths related to bariatric procedures.

Let’s bust 3 common weight-loss surgery myths:

Myth: Most bariatric surgery patients regain most if not all of their lost weight.Truth Vs Myth Bowling Facts Investigating Busting Untruth

Truth: Although some weight-loss surgery patients regain weight after their procedure, it’s not the norm. According to the American Society for Metabolic and Bariatric Surgery, up to 50% of patients may regain a small amount of weight in the years after surgery, but it usually only amounts to 5% of weight lost. Most patients embrace the life-changing effects of weight-loss surgery by improving their diets and habits.

Myth: The risks of weight-loss surgery outweigh the risks of obesity.

Truth: Weight-loss surgery is a quite safe procedure. Studies show that bariatric surgery patients reduce their mortality rates by up to 89% compared with severely obese people who avoid treatment.

Obesity is a disease linked with a number of serious health conditions including heart disease, stroke, diabetes, high blood pressure, and cancer. The National Institutes of Health lists obesity as the second leading cause of preventable death in the United States.

Myth: Weight-loss surgery is nothing more than a cop out for people who are too lazy to diet and exercise.

Truth: Those affected by severe obesity are resistant to long-term weight loss by diet and exercise. The National Institutes of Health Experts Panel recognizes that sustained weight loss is nearly impossible for those affected by severe obesity and may only be achievable through bariatric surgery. Diet, exercise, and lifestyle changes are part of treatment, but in order to shed the necessary amount of weight to make a life-changing, healthful impact, bariatric surgery may be the best option.

If you are struggling with severe obesity and are considering surgery, schedule a consultation at VIPSurg. Our team of experts will look at your personal situation and help find the right treatment for you.




Gallbladder Attacks: Know the Signs and Symptoms

Gallbladder attacks can be quite frightening because it can feel like you’re having a heart attack. When the gallbladder is healthy, this small organ aids the digestive process by sick old man suffering from heartburn, acid refluxstoring bile and excreting it into the small intestine for food digestion. When the gallbladder is unhealthy, gallstones can form and block bile ducts, bile can back up in the gallbladder and cause painful inflammation, or the gallbladder can become infected with a condition known as Cholecystitis.

Gallbladder attacks often begin suddenly and can last anywhere between a few minutes to a few hours, sometimes even requiring hospitalization. Recognizing the signs and symptoms of gallbladder problems is important so that you know when to seek treatment.

The following are common symptoms:

  • Abdominal Pain – One of the most obvious symptoms of gallstones is pain that begins in the upper right portion of the stomach, under the ribs. This pain will radiate outwards, moving gradually to the center of the belly or upper back.
  • Indigestion – Complaints of gas, nausea, and abdominal discomfort after meals are common symptoms. One may experience symptoms of colic, which cause a steady gripping pain (i.e., like heartburn) in the upper right abdomen near the rib cage. Also, like heartburn, colic can radiate to the upper back and behind the breast bone causing pain and pressure.
  • Vomiting – Gallstone pain can cause vomiting, particularly following large or fatty meals.
  • Lack of Appetite – If nausea occurs mainly following meals, the patient may avoid eating altogether due to fear of pain.
  • Jaundice – If a gallstone becomes lodged in or blocks a bile duct, bile remains in your body and bloodstream, turning your skin and the whites of the eyes a yellowish hue known as Jaundice.
  • Urine Changes – Dark or discolored urine can indicate gallbladder issues as well as dehydration.
  • Diarrhea – Explosive and frequent bowl movements can occur with gallstone attacks, accompanied by pain that tends to come and go.
  • Stool Changes – When gallstones grow and block bile ducts, the color of the stool can become pale or clay-like.
  • Fever – If a patient with gallstones or prone to gallbladder attacks experiences fever and chills, this typically indicates an infection of the bile ducts. Fever will occur with acute cholecystitis, usually accompanied by nausea and vomiting. Patients with these symptoms should seek medical attention immediately. Acute cholecystitis is a life-threatening condition if left unattended.
  • Chest Pain – Gallbladder attacks are often mistaken for heart attacks. If a blockage or infection afflicts the gallbladder or bile duct, acid is trapped in the stomach and gets pushed up into the chest, resulting in heart attack-like pain.

If you have gallbladder pain or have been told you need to have yours removed, contact VIP Surg. The doctors will determine what treatment is right for you. Call for a consultation.